| Entity Name: | WILDWOOD PRIMARY CARE ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Oct 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Aug 2022 (2 years ago) |
| Document Number: | L20000333011 |
| FEI/EIN Number | 85-3760478 |
| Address: | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL, 33607, US |
| Mail Address: | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801497953 | 2020-11-05 | 2020-11-05 | 5814 SEVEN MILE DR STE 105, WILDWOOD, FL, 347858869, US | 5814 SEVEN MILE DR STE 105, WILDWOOD, FL, 347858869, US | |||||||||||||
|
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| Phone | +1 813-269-6426 |
Authorized person
| Name | JEANINE PEREZ |
| Role | ADMIN |
| Phone | 8132696426 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORTATION SYSTEM | Agent | 1200 PINE ISLAND RD., PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| PCA TOPCO, LLC | Authorized Member | 3030 N. ROCKY POINT DR., TAMPA, FL, 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000165757 | MAXHEALTH | ACTIVE | 2021-12-16 | 2026-12-31 | No data | 3030 ROCKY POINT DR, STE 825, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-08-30 | No data | No data |
| LC AMENDMENT | 2021-07-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-20 | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2021-07-20 | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-07-20 | C T CORPORTATION SYSTEM | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-02-27 |
| LC Amendment | 2022-08-30 |
| ANNUAL REPORT | 2022-04-16 |
| LC Amendment | 2021-07-20 |
| ANNUAL REPORT | 2021-04-22 |
| Florida Limited Liability | 2020-10-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
